Oncology Conference Attendance Scholarship Application (up to $1,000.00)
Applicants must be an AVAHO Member for a min of 1 year. The requested conference must be oncology focused. Applicant agrees to provide a 5-7 min virtual interview to the AVAHO Communication Committee regarding the importance of supporting the scholarship, conference highlights and knowledge gained. The award will be granted upon such completion. Application period is Sept-Sept
Member Information
Name
*
First Name
Last Name
Credentials
*
Position/Title
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Place of Employment
*
AVAHO Member more than 1 year:
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yes
no
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Email
*
example@example.com
Name of Conference Attending
*
Upload Conference Flyer
*
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Brief description why you are requesting conference attendance and how this will impact Veteran care
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Scholarship Commitment:
I understand by accepting this scholarship I agree to:
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Attend the conference which I am applying to attend
Provide interview with AVAHO highlighting knowledge gained for website use
I understand receipt of scholarship funding will be provided upon completion of AVAHO post conference Interview. By signing, I agree to fulfill the terms of this scholarship
Date
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Month
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Day
Year
Date
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